DSpace Collection:

Environmental Physiotherapy and Global Issues

Fri, 01 Jan 2021 00:00:00 GMT

Title: Environmental Physiotherapy and Global Issues Authors: Padhy, Gouranga Kumar; Oliver Raj, Joseph Abstract: The current research paper recognises and values the elemental and vital role of the environment in our day-to-day life, ourphysical health and professional physiotherapy practice, and adapt our thinking and actions accordingly. There is a dire need to understand and acknowledge how the environment relates to the existing specialties in the field of physiotherapy and therefore the pathologies and health challenges they attempt to handle. This understanding will enable us to enhance practice for the advantage of patient health across musculoskeletal, neurologic, paediatric, and cardio-pulmonary physiotherapy, and additionally for physiotherapy in mental health issues, occupational health and ergonomics. Apart from patient care, the environmental consideration within the operational functioning and provision of physiotherapy has to be given importance in the various treatment settings. This needs a general understanding of the concept of sustainability and its applications to different parts of physiotherapy service provision. The key foundation for environmental physiotherapy is robust understanding of the environmental issues that we face worldwide these days, along with their health impacts. These include global climate change, biodiversity loss, plastic and air pollution and extreme weather events, and also the means by which they contribute to the direct and indirect spread of health problems, relevant to the field of physiotherapy.

Effectiveness of Myofascial Release in Improving Pain, Pain Pressure Threshold and Disability as Compared with Standard Care in Upper Trapezius Myofascial Trigger Points

Fri, 01 Jan 2021 00:00:00 GMT

Title: Effectiveness of Myofascial Release in Improving Pain, Pain Pressure Threshold and Disability as Compared with Standard Care in Upper Trapezius Myofascial Trigger Points Authors: Zutshi, Kalpana; Verma, Pankaj; Hazari, Animesh Abstract: Background and Objective: Pain in the neck region is very common in the area of the upper trapezius muscle. In adults and women population the prevalence of neck pain is very high. It varies with a mean point prevalence of 13% to the lifetime prevalence of 50%. Muscles are very painful after the injury feeling like stiffness and spasm in the muscles. Many of the physiotherapy protocols like MWD, heat modalities, tens, spray, ultrasound, stretch, muscle energy technique (post isometric relaxation); many others included the use of deep friction massage (DFM) and ischemic compression are used in inactivation trigger points in previous studies. But these studies did not find evidence of functional improvements after the treatment. The aim of this study is therefore, to check the effectiveness of Myofascial Release in improving pain, pain pressure threshold and disability as compared with Standard Care in Upper Trapezius Myofascial Trigger Points. Study Design: Experimental comparative study Study Setting: Department of Rehabilitation Sciences. Outcome Measures: VAS, PPT, NPADS, CROM Materials & Method: The intervention in group A given was U. S and TENS followed by stretching. The patient was in a sitting position. The depth of ultrasound was 1.5 w/cm2 (1 MHz) with a duration of 5 minutes. The parameter for TENS was used as a negative monophasic impulse, low intensity (<10μA), frequency(<10HZ) short duration(10-40μs). This was followed by stretching of upper trapezius 3 repetitions and 90sec hold. Group B DTFM 10 minutes followed by 90-sec stretching. Results: Within-group A and B there is a significant difference in Pain, PPT, NPADS and CROM as P<0.01 while in between the group there is no significant difference in Pain, PPT, NPADS and CROM as P >0.563, P>0.238, P>0.634 and P>743 respectively. Conclusion: This present study concluded that MFR and combination of both TENS and ultrasound are equally effective in treating myofascial trigger points statistically. But clinically myofascial release seems to be more effective in pain relief as well as in improving function.

Influence of Hand Dominance on Shoulder Range of Motion in Young Non-Athlete Women

Fri, 01 Jan 2021 00:00:00 GMT

Title: Influence of Hand Dominance on Shoulder Range of Motion in Young Non-Athlete Women Authors: Sushma Devi, Laiphrakpam; Oliver Raj, Joseph Abstract: The shoulder joint is one of the most commonly injured joints. Handedness is most often not a standard question of the musculoskeletal assessment form. But it may have an impact on developing musculoskeletal injury, especially in upper limb injury. There is paucity in studies correlating handedness and shoulder range of motion in young non athlete women. The aim of this study was to determine whether handedness influences active shoulder range of motion in young adult non athlete women. In this observational study, hundred healthy non athlete females of age group 18-24 were selected. Bilateral shoulder range of motion on all three planes for each female was measured by a qualified physiotherapist using a universal goniometer. The collected data was put into statistical analysis using paired t test.

Correlation between Balance and BMI in Collegiate students: A cross sectional study

Fri, 01 Jan 2021 00:00:00 GMT

Title: Correlation between Balance and BMI in Collegiate students: A cross sectional study Authors: Suvarna, Tejaswini Padmanabha; Oliver Raj, Joseph; Prakash, Nithin Abstract: Background: Balance deficits are usually related to medial-lateral instability. BMI could be an important factor to consider as; excess body mass or increased accumulation of adipose tissue can directly impact the postural stability which in return impacts balance. Purpose of the study: To find the correlation between BMI and Balance. Method: Sample consisted of 149 students, out of which 100 (67%) were males and 49 (33%) were females. BMI was calculated and was categorized into groups. Bilateral limb length was measured for normalising the data. Static balance was measured by performing blinded stork test and dynamic balance by performing Ybalance test. Data was analysed using Pearson’s correlation test. Result: There was significant correlation between BMI and static balance of left leg (r=0.713, 95% CI 0.623, 0.784, p=0.01) but on comparison, there was no significant correlation between BMI and static balance of right leg (r=0.0458, 95% CI -0.11, -0.205, p=0.58). It was found that there was no significant correlation between BMI and Left Anterior (r= -0.134, 95% CI -0.289, -0.0274, p= 0.103), Left Posterolateral (r=-0.0775, 95% CI - 0.235, 0.0843, p=0.347), Left Posteromedial (r=-0.0903, 95% CI -0.248, -0.0715, p=0.273) respectively. Also, it was found that there was no significant correlation between BMI and Right Anterior (r=-0.236, 95% CI -0.382, -0.0778, p=0.00381), Right Posterolateral (r=-0.193, 95% CI -0.343,-0.0334, p=0.0183), Right Posteromedial (r=-0.126, 95% CI -0.281, -0.0354, p=0.125) respectively. Conclusion: There was significant correlation between BMI and static balance of left leg and no correlation was established between BMI and static balance on right leg and also no correlation was established between BMI and static and dynamic balance for right and left leg.